FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/UK/ROAD/40690/2019   (ii). Name of Project for which Forest Land is required : Slope protection work in KM-03 of Tharali Ghat MR   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Slope protection work in KM-03 of Thrali ghat MR in Tharali Tehsil of District Chamoli. Beneficiary vill Boonga, Ratgaon, Bursol. Approx 2310 person In Mansoon Season road is being blocked due to continuous landslide. After slope protection above village will connect to block and main stream/market   (iv). State : Uttarakhand   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 850   (viii). Area of forest land proposed for diversion(in ha.): 0.262   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Tharali   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246481   (vii). Landmark : NIL   (viii). Email address : pwdtharali@gmail.com   (ix). Landline Telephone No. : 1363-271224   (x). Fax No. : NIL   (xi). Mobile No. : 8126088480   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jitendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Con. Div. P.W.D. Tharali   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Tharali   (xi). Pin: 246481   (xii). Landmark: NIL   (xiii). Email Address: pwdtharali@gmail.com   (xiv). Landline Telephone No.: 1363-271224   (xv). Fax No.: 01363271224   (xvi). Mobile No.: 8439950507   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of land required for the Project
B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
Proposal Submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
1ApprovedFP/UK/Road/10775/2015FP/UK/Road/10775/20150.7220.72230 Oct 201518 Oct 2016
2ApprovedFP/UK/ROAD/25814/20178B/UCP/06/103/20170.9550.95524 Sep 201823 Oct 2018
Total 1.677 1.677
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Badrinath,Gopeshwar0.2620
Total0.2620
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.2620
Total0.2620
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1RF=3Pinder par van block, Mid pinder range Tharali0.2620
Total 0.262 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Slope protection walls0.2620
2Muck Disposal (To be filled in road undulation and00
Total 0.262 0
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.262   (ii). Nature of the Project: Linear   (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.0.262    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: This is slope protection work in chronic zone need
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 8000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Not Applicable   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
101 Cover Page and Checklist
21 01 Competence authority
31 02 Digital Map
41 03 Geo reference map
51 05 Justification of Project
61 06 FRA with NOCs
72 02 Sanction of Project
82 03 Joint inspection report Form-6
92 05 Certificate from the DM for No alternative land
102 06a Land Schedule for forest land
112 07 Category wise land details
122 08 Bar Chart
132 12 Road side gap filling plantation estimate
142 14 Estimate for tree plantation by DFO
152 14a Undertaking by user agency for tree plantation
162 15 Details of trees to be felled
172 15a Valuation of tree to be felled
182 17 Certificate regarding felling of oak tree
192 18 Certificate of felling minimum trees
202 19 Muck disposal scheme
212 20 Certificate for Project area not part of Park or Sanctuary
222 23 No violations of Forest Act 1980
232 27 Certificate for work not started
242 28 Geologist Report
252 29 Task force certificate
262 30 Standard Condition
272 31 Certificate for complying Task force recommendation
282 32 Certificate for No historical or monumental or religious place
292 33 Undertaking for no animal will be effected
302 34 Undertaking for provide alternative fuel
312 35 List of Benefited villages
322 36 NPV details
332 37 Undertaking for NPV Payment
342 40 Demarcation cost of land to be diverted
352 41 Undertaking for demarcation of land
362 44 Undertaking for environmental clearance
372 45 Form Part-1 for User Agency
38Letter for EDS Dt 26-06-19 complince
39Form Part II & Site inspection from DFO office
40Proposal hard copy receiving from Nodal office
41Reply Letter to EDS 11-09-19
42Aerial Distance Certificate (Revised)